Teenage Mentoring, INC.
In Home Supportive Care in Plantation, FL. Organization (NPI-2).
NPI number1831425883
StatusActive
Last updated in NPPESOct 27, 2009
Details
- NPI
- 1831425883
- Entity type
- Organization (NPI-2)
- Legal business name
- Teenage Mentoring, INC.
- Organization subpart
- No
- Enumeration date
- Oct 27, 2009
- Last updated
- Oct 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
7261 Nw 16 StreetB126
Plantation, FL 33313
Phone 954-581-8454 · Fax 954-581-8252
Mailing address
Po Box 223333Hollywood, FL 33022-3333
Phone 954-581-8454 · Fax 954-581-8252
Authorized official
Elizabeth Theola Edwards
Ceo/Persident
9545818454
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